Answer this question truthfully
### Question: Who is at highest risk for Primary sclerosing cholangitis ?
### Response: PSC is linked to inflammatory bowel disease (IBD). About three out of four people with PSC have a type of IBD called ulcerative colitis. Most people with PSC are adults but the disease also occurs in children. The average age at diagnosis is 40. PSC is more common in men than women. Having family members with PSC may increase a person’s risk for developing PSC.